Provider Demographics
NPI:1760705081
Name:RENDLER, JOSEPHIA
Entity Type:Individual
Prefix:MS
First Name:JOSEPHIA
Middle Name:
Last Name:RENDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 MARION DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1434
Mailing Address - Country:US
Mailing Address - Phone:914-576-7818
Mailing Address - Fax:914-968-2220
Practice Address - Street 1:807 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5006
Practice Address - Country:US
Practice Address - Phone:914-725-1861
Practice Address - Fax:914-725-3509
Is Sole Proprietor?:No
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033518-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist